| Central Nebraska Neurology Pc | |
|
2727 West 2nd St Suite 340 Hastings NE 68901 | |
| (402) 463-1250 | |
| (402) 463-1461 |
| Full Name | Central Nebraska Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2727 West 2nd St, Hastings, Nebraska |
| Authorized Official Name and Position | Lorraine Lynn Edwards (PRESIDENT) |
| Authorized Official Contact | 4024631250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Nebraska Neurology Pc 2727 West 2nd St Suite 340 Hastings NE 68901 Ph: (402) 463-1250 | Central Nebraska Neurology Pc 2727 West 2nd St Suite 340 Hastings NE 68901 Ph: (402) 463-1250 |
| NPI Number | 1790713105 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921997644 |
|---|---|
| Medicare Enrollment ID | O20040311001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790713105 | NPI | - | NPPES |
| 10025015900 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 20077 (Nebraska) | Primary |
| Provider Name | Lorraine L Edwards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558332346 PECOS PAC ID: 8426947151 Enrollment ID: I20100104000672 |
| Provider Name | Maxwell Q Nyce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700375854 PECOS PAC ID: 0143570853 Enrollment ID: I20220608000655 |
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